1989, 10-27 Permit App: 89004345 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto comply with same.All provisions of laws
and ordinances governing this type of work will be complied with whether specified herein or not.I understand that the issuance of this permit and any subsequent
inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating
construction,or as a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
HkCjEci NUMBER= 8900434':::,
3i:•Y-A*ii• :-'it• 1+i{++r-ri-i!• 'i K iE,31:-i-*-i:-K :-1`•Y: •Hr-1Y•Pi * .z• , ,•...L L.:i:ii I ,. „,i N 9 jF•:if•it:a=, y;-:»r-..
SIT:... STREET= 12719 E SEMR0 AVE ! i••i. . .. ...L..:i,._.. 27542-16
ADDRESS= SPOKANE t:.lfj:! 99216
PERMIT USE= SEWER CONNECTION — 8801
x 1 li SEE
NO... ..
PLATO= 001 844 PLAT NAME= c:lr:'i::cnR.T(Ii••1.C..''( TERRA..::...
BLOCK= '> t._t.J'•i'= 8 ZONE= AGSUB DISTO=
AREA= 00000000F:/ i= h' WIDTH= r t:n>! lis:.i-' i ;•±::::
OF ::,LDt-<<x: :x° DWELLINGS= j
OWNER= ,}CHAFFER, RONALD i`'ifli•..I) i"'h'i(:INi:::::::
STREET= 12719 E SEMR0 AVE
ADDRESS= SPOKANE WA 992.16
CONTACT NAME= LEONARD .... t..i , PHONE „ Mi . 49 926 " a 4
BUILDINGSETBACKS : . :FRONT= . a LEFT—± .... p a RIGHT=r ' .
± A REAR= NA
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CONTRACTOR= & CONSTRUCTION PHONE= � :{ 926 0964
STREET= 1 '1 5.1 .7, i::' V A i...t...i:::•Y IW A'T' AVE
ADDRESS=
�,...i�:;_.... ; : :�N•- , :. 99206
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ITEM DESCRIPTION QUANTITY i"i::.t". AMOUNT
-------
PROCESSING 3::'l::f: .'r' 10, 00
SEWER:-'EWER c::c:'±NNis C::I .i.l.1N '± 40.00
PERMIT TYPE i...i:.. AMOUNT Ai'±•..J•..Ji`,1.•!• PAID AMOUNT OWING
SEWER PERMIT 50.00 „ 00 50 . 00
0.()0 ..00 50 ,00
PROCESSED BY : JULIE . :. .........
PRINTED .i:f'•i` : JULIE S i' c T•T•(:
SEWER STUB UB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT !(45L 6....:: ,'04)
CONTRACTOR (::±i;: APPLICANT "•S T , LOCATE , �.
.±.,.. ! c: i:..7:t:::c..:(� i��s±��:.i CONFIRM THE
ELEVTIJ ;:::TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, (.z fi. PIPING, WATER LINES, ECT ,
CALL BEFORE YOU DIG (456-8000)r.
SEWER .r'r+..?is,s ARE '•t'(: BE CHECKED PRIOR TO CONNECTION ..f-c:i INSURE:
THAT THEY i•i±'L.i::. CLEAR i,N1 I.) UNOBSTRUCTED TO THE i E Si-:i,:1i:::i'i MAIN
::;+:::'i:::*K i!:K CALL FCR I;•;,, C •r PRIOR TO COVER :. 1{•)+i!+::isj•:+:i+r ikr
**}:*a+:)+:N•9i•;u• 24 HOUR NOTICE REQUIRED ...::,,;7i ii:' :+k n*-*
:. x,.s. i.x* 456- 604 3'''' ik:R•±i•:}_: ,::}•:_:
:, :y. :l:,a;.:,r..};.:,{.:i.:!..:i.:i.:!{.:i.:,•.: :•.:•:,*:a.i..}i.:•.:,i.:i.:i.:{.:i.:i.:i. THANK ai.: :i;..}:.:;•.:::+,::,;.:{.:,;.:,{.:!{. :i.:i.:{.:i.:;.. :1::,;.:::i.:,::p:::i.:i.:,i.: .:,;.
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JOB ADDRESS: , ( ;1( ( �
SUBDIVISION: ca--‘7,64D--- I(p � LOT : BLOCK:
OWNER: -.41111101.10•4 f' �� ���j��-Vi .„ w PHONE:
ADDRESS: Y?6-2/14.0Rld
�. ►I .- __�
U u
CONTRACTOR: PHONE:
ADDRESS:
LICENSE # :
INSPECTION DATE:
TYPE OF OCCUPANCY: